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"Mi-Ra Cho"

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"Mi-Ra Cho"

Original Articles
Comparison between the International Classification of Primary Care and the International Classification of Diseases Classifications in Primary Care in Korea
Mi-Ra Cho, Yu-Jin Kwon, Shin-Hye Kim, Jinseub Hwang, Jimin Kim, Jangmi Yang, Jeonghoon Ahn, Jae-Yong Shim
Korean J Fam Med 2022;43(5):305-311.   Published online September 20, 2022
DOI: https://doi.org/10.4082/kjfm.22.0119
Background
The International Classification of Primary Care-2 (ICPC-2) is a classification method designed for primary care. Although previous studies have found that ICPC-2 is a useful tool for demonstrating the relationship between patients’ expectations and health providers’ diagnoses, its utility of ICPC-2 has yet to be fully studied in Korea. This study aimed to evaluate the practicality of ICPC-2 in Korean primary care.
Methods
The study was conducted at primary care clinics in Seoul and Gyeonggi areas from October to November 2015. Third-year family medicine residents examined and analyzed the medical records of patients who visited primary care physicians using ICPC-2, and the results were compared with those obtained using the International Classification of Diseases-10 (ICD-10) (Korean version: Korean Standard Classification of Diseases-7).
Results
A total of 26 primary care physicians from 23 primary care clinics participated in the study. Furthermore, 2,458 ICD-10 codes and 6,091 ICPC-2 codes were recorded from the data of 1,099 patients. The common disease codes were vasomotor and allergic rhinitis (J30), according to ICD-10, and acute upper respiratory infection (R74) in ICPC-2. Comparing disease status by body systems, the proportion of gastrointestinal disease with ICD-10 codes was significantly higher than that with ICPC-2 codes (P<0.001). Furthermore, patients with >4 diagnoses accounted for 36% of the ICD-10 classifications, whereas those with >4 diagnoses accounted for 4% of the ICPC-2 classifications.
Conclusion
Introducing ICPC as a complementary means for diagnosing common diseases could be a practical approach in Korean primary care.

Citations

Citations to this article as recorded by  
  • Evaluation of Diagnoses According to ICD‐10 and ICPC‐2 in Family Medicine Practice: A Retrospective Study
    Olgun Göktaş, Marta Laranjo
    International Journal of Clinical Practice.2025;[Epub]     CrossRef
  • 5,993 View
  • 81 Download
  • 1 Web of Science
  • 1 Crossref
Background

The prevalence of metabolic syndrome (MetS) has risen rapidly worldwide, including in South Korea. Factors related to lifestyle are closely associated with the development of MetS. The aim of this study was to investigate the association between MetS and a number of factors positively influencing health, namely non-smoking, low-risk drinking, sufficient sleep, regular exercise, and the habit of reading food labels, among Korean men.

Methods

This cross-sectional study included 3,869 men from the 2007–2009 Korean National Health and Nutrition Examination Survey. Information on five factors positively influencing their health was obtained using a self-reported questionnaire. We categorized subjects into four groups, depending on the number of positive factors reported (group I, 0–1 factor; group II, 2 factors; group III, 3 factors; group IV, 4–5 factors).

Results

Men who reported a greater number of positive health factors had better laboratory and anthropometric values than men who reported fewer positive health factors. The prevalence of MetS was 29.1, 27.2, 20.7, and 14.6% in groups I to IV, respectively. Compared to group I, odds ratios (95% confidence intervals) for MetS were 0.96 (0.78–1.19) in group II, 0.67 (0.52–0.87) in group III, and 0.52 (0.35–0.76) in group IV, after adjusting for confounding factors. Odds ratios for abdominal obesity, glucose intolerance, and hypertriglyceridemia were statistically significant.

Conclusion

A greater number of positive lifestyle factors influencing health were associated with a lower risk of developing MetS, in a nationally representative sample of Korean men.

Citations

Citations to this article as recorded by  
  • Association between Use of Nutritional Labeling and the Metabolic Syndrome and Its Components
    Hyung-sub Jin, Eun-bee Choi, Minseo Kim, Sarah Soyeon Oh, Sung-In Jang
    International Journal of Environmental Research and Public Health.2019; 16(22): 4486.     CrossRef
  • 5,958 View
  • 41 Download
  • 1 Web of Science
  • 1 Crossref
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